Individual
MS. DIANA GOSTEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 W 35TH ST, NEW YORK, NY 10001
(212) 435-0036
Mailing address
248 W 35TH ST, MANHATTAN, NY 10001
(212) 453-0036
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008661-1
NY
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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